| Paul A. Hauge, Dds, Ltd | |
|
601 6th St Hwy 35 Centuria WI 54824-0459 | |
| (715) 646-2161 | |
| (715) 646-2023 |
| Full Name | Paul A. Hauge, Dds, Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 601 6th St Hwy 35, Centuria, Wisconsin |
| Authorized Official Name and Position | Paul Allen Hauge (OWNER) |
| Authorized Official Contact | 7156462161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul A. Hauge, Dds, Ltd 601 6th St Hwy 35 P O Box 459 Centuria WI 54824-0459 Ph: (715) 646-2161 | Paul A. Hauge, Dds, Ltd 601 6th St Hwy 35 Centuria WI 54824-0459 Ph: (715) 646-2161 |
| NPI Number | 1699821470 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699821470 | NPI | - | NPPES |
| 38390000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5001408 (Wisconsin) | Primary |
Georgeann C. Vargas Dds, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 State Road 35, Centuria, WI 54824 Phone: 715-646-2161 Fax: 715-646-2023 |